Dr. Glen R. Goldfarb
Plastic Surgeon (Head & Neck)
620 10th Street N.
St Petersburg
, Florida 33705-1407
Dr. Glen R. Goldfarb
Plastic Surgeon (Head & Neck)
620 10th Street N.
St Petersburg
, Florida 33705-1407
(727) 824-3132
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Glen R. Goldfarb
- Po Box 12868
- St Petersburg, FL
- Zip : 33733-2868
- Fax : (727) 824-3132
- Phone : (727) 824-8357
Second Address
- Dr. Glen R. Goldfarb
- 620 10th Street N.
- St Petersburg, FL
- Zip : 33705-1407
- Fax : (727) 824-7140
- Phone : (727) 824-8375
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME66028 | FL |
National Provider Identifier
| NPI | 1548255151 |
|---|---|
| Provider Name | Dr. Glen R. Goldfarb |
| First Address | St Petersburg, FL 33733-2868 |
| Second Address | St Petersburg, FL 33705-1407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 04/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 261168600 | (05) | FL |
| F87714 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.